Articles for September 12, 2013

CDI Strategies - Volume 7, Issue 19

News: Government focus on observation versus inpatient admission governance continues

September 12, 2013
News, Clinical & Coding

CMS issued new guidance last week aimed at clarifying the so-called “two-midnight rule” finalized in the 2014 IPPS. The rule essentially states that physicians should order an inpatient admission if he/she expects the care...Read More »
CDI Strategies - Volume 7, Issue 19

News: OIG makes recommendations to improve Recovery Auditor oversight

September 12, 2013
News, Quality & Regulatory

Although Recovery Auditors have identified more than a billion dollars in inappropriate payments, CMS needs to do more to improve its oversight of the program, and target potential instances of fraud identified by the program,...Read More »
CDI Strategies - Volume 7, Issue 19

News: GAO calls on CMS to increase consistency among contractors

September 12, 2013
News, Quality & Regulatory

Recovery Auditors conducted almost five times as many reviews as all other Medicare auditors combined in fiscal year (FY) 2012, according to a July report from the Government...Read More »
CDI Strategies - Volume 7, Issue 19

Tip: Examine POA exempt codes in ICD-10-CM

September 12, 2013
Clinical & Coding

Inpatient coders are accustomed to assigning a present-on-admission (POA) indicator in ICD-9-CM and they will continue to do so in ICD-10-CM. Although the POA indicators remain the same, ICD-10-CM includes a list of codes that...Read More »
CDI Strategies - Volume 7, Issue 19

Q&A: Three query opportunities related to sepsis infections

September 12, 2013
Ask ACDIS

Q: If we were live with ICD-10 would we query for sepsis infectious versus noninfectious origin in the following scenario?

On admission the physician documents: “Sepsis by definition...Read More »